ATI LPN
Patient Comfort Questions Questions
Question 1 of 5
The nurse is assessing a client with a history of heart failure who reports gaining 3 pounds since yesterday. Which additional finding would be of most concern to the nurse?
Correct Answer: C
Rationale: Crackles in lower lobes are most concerning with a 3-pound gain in heart failure. They indicate pulmonary edema from fluid overload, needing urgent care, per pathophysiology. Pillows , BP , and no dyspnea are less acute. C signals decompensation, making it priority.
Question 2 of 5
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output is critical post-resuscitation from pulseless dysrhythmia. It monitors renal perfusion and cardiac output, reflecting hemodynamic stability after cardiac arrest, per critical care guidelines. White blood count assesses infection but isn't immediate, glucose is less urgent unless diabetic, and temperature detects fever but not organ function. A directly evaluates resuscitation success, detecting complications like acute kidney injury early.
Question 3 of 5
When providing nursing measures to relieve a 102-degree Fahrenheit fever in a toddler with an infection, what is the most effective intervention?
Correct Answer: A
Rationale: Using medications to lower the temperature set point is most effective. Antipyretics like acetaminophen reset the hypothalamic set point in a 102°F fever, addressing the cause, per pediatric standards. Clothing raises temperature, immersion risks shock, and sponging is adjunctive. A ensures safe, rapid fever reduction.
Question 4 of 5
While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?
Correct Answer: B
Rationale: Poor body image is most often associated with adolescent obesity, per pediatric psychology. It stems from societal stigma and self-esteem issues. Promiscuity , dropout , and drugs may occur but aren't primary. B guides holistic care planning.
Question 5 of 5
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?
Correct Answer: A
Rationale: Respiratory rate of 42 requires immediate attention in croup. Tachypnea signals airway obstruction, per pediatric emergency standards. Lethargy is concerning but secondary, bradycardia isn't typical, and secretions are expected. A prioritizes airway management.